Provider Demographics
NPI:1699515924
Name:HEALING RESOURCES MENTAL HEALTH LLC
Entity type:Organization
Organization Name:HEALING RESOURCES MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:S
Authorized Official - Last Name:GRUIDL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:612-232-6902
Mailing Address - Street 1:8206 LOUISIANA BLVD NE STE B10531
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-1738
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8206 LOUISIANA BLVD NE STE B10531
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-1738
Practice Address - Country:US
Practice Address - Phone:505-225-8962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health